Miller, Mark Alan

Miller, Mark Alan is an individual health care provider with primary practice located at 1745 W Hunt Hwy Ste. 103, Queen Creek AZ 85143-5215. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Miller, Mark Alan can be contacted via phone (480) 677-3702.

Contact Information

Primary practice address
1745 W Hunt Hwy Ste. 103 Queen Creek AZ 85143-5215
Phone: (480) 677-3702
Fax: (480) 677-3724
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5574 Arizona

Profile Details

NPI number 1659377364
LBN Legal business name Miller, Mark Alan
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2005
Last updated Nov 13th, 2009 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659377364 NPPES
Arizona Other 00033731 BANNER HEALTHCARE
Arizona Other AZ0938560 BANNER HEALTHCARE

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